Individual
COLLEEN ELIZABETH LOPATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
Mailing address
1241 W JACKSON BLVD UNIT 303, CHICAGO, IL 60607-2858
(708) 373-2214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070021444
IL
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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